Complications after a facelift, what could this be? (Photos)

I don't think that the swelling you describe is a simple hematoma or seroma. If it was, the mass would likely be fairly soft and would have a fluid-like movement with pressure. The firmness and discomfort you describe and the rippling appearance of your anterior neck suggest an inflammatory process.  This occurs when old blood breaks down. The red blood cells, hemaglobin, white blood cells and other solid elements in blood induce the formation of a fibrous (scar) capsule.  I would suggest that you return to your doctor for diagnosis and treatment. I would first try to aspirate the swollen areas to see if there is any liquid blood or seroma that can be removed. In the absence of blood or seroma, I  would inject a low dose steroid with an anti-metabolite like 5-FU to both prevent and treat the fibrous encapsulation. Massage may also be helpful but I wouldn't perform any massage until your doctor gives their approval. You should be able to prevent any long term irregularities. Best wishes.

I think that what you are seeing is either a fluid (seroma or residual blood) or just post -op swelling. I would see your doctor. He can examine you and let you know what it is.

It is important to follow up closely with your board certified plastic surgeon when you have a complication as several minor adjustments may be necessary.  

Dear Goducks,Thank you for your question and photos. I am sorry you are having a complication. Based on your photo, the bump is caused either from swelling, a hematoma or seroma. A seroma and hematoma need to be drained. Please meet with your surgeon ASAP to be formally evaluated. Best regards,Nima Shemirani

Hi,  It is possible to have a hematoma or seroma recur even after they have been drained once. You need to see your surgeon again. Do not take any medications like aspirin or NSAIDS ( Advil, Motrin, etc). Do not engage in any athletic activities. See your PS.Best,Dr. Christine Rodgers

Thank you for your pictures and questions. This swelling may be a recurrent hematoma or a seroma, or it could just be swelling. Regardless of the cause of your problem, I would suggest you be evaluated as soon as possible by your surgeon to be treated. Sometimes these problems can be treated quickly to prevent problems.Good luck!

Your photos suggest there may be a recurrent or incompletely drained hematoma.  I suggest returning to see your operating surgeon for assessment and treatment if necessary.

It is most likely a hematoma but it could also be a seroma. It is large enough it most likely benefit from being drained.  Surprisingly these can resolve on their own but at a certain size, drainage is warranted to speed up healing.  Please contact your surgeon immediately and have this assessed.  I would call now.

Dear goducks, The bump on your neck appears to be a hematoma or seroma. If so, there should be no long term complications and it should resolve completely. It will take some time, but you should not have any long term issues. I strongly recommend that you see your surgeon to determine the best course of treatment.Good luck!

Dear Goducks,it is hard to tell for sure without an examination. I would suggest you to consult your plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery